医学
上消化道出血
胃肠道出血
不利影响
回顾性队列研究
消化性
外科
剪辑
消化性溃疡
置信区间
内科学
内窥镜检查
作者
David Villaescusa,Enrique Rodríguez de Santiago,Miguel Ángel Rodríguez-Gandía,Sofía Parejo Carbonell,Beatriz Peñas García,Antonio Guerrero García,José Ramón Foruny Olcina,Ana García García de Paredes,Juan Ángel Gónzalez Martín,Enrique Vázquez-Sequeiros,Agustı́n Albillos
标识
DOI:10.17235/reed.2022.8722/2022
摘要
over-the-scope-clips (OTSC®) have been proposed as a rescue treatment for bleeding peptic ulcers. However, their effectiveness has not been evaluated in Spain.this retrospective and single-center study (January 2018-December 2021) assessed the technical success, clinical success and safety of the device within 30 days. All patients with upper gastrointestinal bleeding due to a peptic ulcer and treated with the OTSC® clip (OVESCO) as a rescue therapy were included in the study.a total of eleven patients were included in the study, nine due to rebleeding and two due to persistent bleeding. Technical success was 81.9 % (9/11, confidence interval [CI] 95 %: 52-95 %). The per-protocol and intention-to-treat clinical success were 88.9 % (8/9, CI 95 %: 57-98 %) and 72.7 % (8/11, CI 95 %: 43-90 %), respectively. No device-related adverse effects were recorded.the OTSC® clip was an effective and safe rescue therapy for bleeding peptic ulcers.
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